Evidence map›Paper›PMID 31897446›Full record

ArticleInternational journal of surgery protocols2019

The NeST (neoadjuvant systemic therapy in breast cancer) study - Protocol for a prospective multi-centre cohort study to assess the current utilization and short-term outcomes of neoadjuvant systemic therapies in breast cancer.

G W Irwin, F Bannon, C E Coles, E Copson, R I Cutress, R V Dave, M Grayson, C Holcombe, S Irshad, C O'Brien and 8 more

Open access · diamondAbstract read
In one paragraph

Article in International journal of surgery protocols, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 16 institutions in 1 country.

G W IrwinBelfast City Hospital, Belfast Health and Social Care Trust, 51 Lisburn Road, Belfast BT98 7AB, UK.
F BannonCentre for Public Health, Queen's University, Belfast, UK.
C E ColesOncology Centre, Box 193, University of Cambridge, Hills Road, Cambridge CB2 0QQ, UK.
E CopsonCancer Sciences Academic Unit, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
R I CutressCancer Sciences Academic Unit, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
R V DaveNightingale Breast Centre, Manchester University Foundation Trust, Southmoor Road, Wythenshawe, Manchester M23 9LT, UK.
M GraysonNorthern Ireland Cancer Research Consumer Forum, Belfast, Northern Ireland, UK.
C HolcombeNorth West Cancer Research Centre, University of Liverpool, 200 London Road, Liverpool L3 9TA, UK.
S IrshadResearch Oncology, Kings College London, SE1 9RT, UK.
C O'BrienThe Christie NHS Foundation Trust, Wilmslow Road, Manchester M20 2BX, UK.
R L O'ConnellDepartment of Breast Surgery, Royal Marsden NHS Foundation Trust. Downs Road, Sutton, Surrey SM2 5PT, UK.
C PalmieriInstitute of Translational Medicine, University of Liverpool, Liverpool L69 3BX, UK.
A M ShaabanQueen Elizabeth Hospital Birmingham and University of Birmingham, Birmingham B15 2GW, UK.
N SharmaBreast Unit, Level 1 Chancellor Wing, St James Hospital, Beckett Street, Leeds LS97TF, UK.
J SinghUniversity Hospitals Birmingham, Edgbaston, Birmingham B15 2GW, UK.
I WhiteheadBurney Breast Unit, St Helens & Knowsley Teaching Hospitals NHS Trust, Marshalls Cross Road, St Helens WA9 3DA, UK.
S PotterBristol Centre for Surgical Research, Population Health Sciences, Bristol Medical School, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS, UK.
S A McIntoshCentre for Cancer Research and Cell Biology, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7AE, UK.
Queen's University Belfast · GBUniversity of Liverpool · GBBelfast City Hospital · GBGuy's Hospital · GBRoyal Marsden NHS Foundation Trust · GBSouthampton General Hospital · GBSt Helens and Knowsley Teaching Hospitals NHS Trust · GBSt James's University Hospital · GBThe Christie NHS Foundation Trust · GBThe Edgbaston Hospital · GBThe Northern Ireland Cancer Centre · GBUniversity of Birmingham · GBUniversity of Bristol · GBUniversity of Cambridge · GBUniversity of Manchester · GBUniversity of Southampton · GB

Funding

Cancer Research UK 24869Department of Health CS-2016-16-019Department of Health NIHR300024Department of Health PB-PG-0214-33065Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

introductionNeoadjuvant systemic therapy (NST) has several potential advantages in the treatment of breast cancer. However, there is currently considerable variation in NST use across the UK. The NeST study is a national, prospective, multicentre cohort study that will investigate current patterns of care with respect to NST in the UK. METHODS AND ANALYSIS: Phase 1 - a national practice questionnaire (NPQ) to survey current practice.Phase 2 - a multi-centre prospective cohort study of breast cancer patients, undergoing NST.Women undergoing NST as their MDT recommended primary breast cancer treatment between December 2017 and May 2018 will be included. The breast surgery and oncological professional associations and the trainee research collaborative networks will encourage participation by all breast cancer centres.Patient demographics, radiological, oncological, surgical and pathological data will be collected, including complications and the need for further intervention/treatment. Data will be collated to establish current practice in the UK, regarding NST usage and variability of access and provision of these therapies. Prospective data on 600 patients from ~50 centres are anticipated.Trial registration: ISRCTN11160072. ETHICS AND DISSEMINATION: Research ethics approval is not required for this study, as per the online Health Research Authority decision tool. The information obtained will provide valuable insights to help patients make informed decisions about their treatment. These data should establish current practice in the UK concerning NST, inform future service delivery as well as identifying further research questions.This protocol will be disseminated through the Mammary Fold Academic Research Collaborative (MFAC), the Reconstructive Surgery Trials Network and the Association of Breast Surgery. Participating units will have access to their own data and collective results will be presented at relevant conferences and published in appropriate peer-reviewed journals, as well as being made accessible to relevant patient groups.

Indexed as

Breast cancerNeoadjuvant chemotherapyNeoadjuvant endocrine therapyOutcomesPathologyPatterns of careRadiologySurgery

Identifiers

PMID31897446
PMCPMC6921204
OpenAlexW2984587862

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.